Active NPI
Wayne Harrison Gordner, DMD MS
- Prosthodontics
- Camp Hill, PA
National Provider Identifier
1447368667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS21282L
- Practice address
- 395 St. Johns Church Road
Camp Hill, PA 17011 - Phone
- (717) 731-1327
- Fax
- (717) 730-4554
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS21282L | PA | Primary |
Addresses
Primary practice location
395 St. Johns Church Road
Camp Hill, PA 17011
Mailing address
395 St. Johns Church Road
Camp Hill, PA 17011
Phone (717) 731-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 16, 2015 through Jul 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS21282L | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447368667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 ST. JOHNS CHURCH ROAD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "17011",
"telephone_number": "717-731-1327",
"fax_number": "717-730-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 ST. JOHNS CHURCH ROAD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "17011",
"telephone_number": "717-731-1327",
"fax_number": "717-730-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDNER",
"first_name": "WAYNE",
"middle_name": "HARRISON",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS21282L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.